Health Condition 1: 8- Other Procedures
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
AIIMS,NEW DELHI
Eligibility
Inclusion criteria
Inclusion criteria: a) Age: 18-65 years b) Gender: Both male and female c) ASA Physical Status: I-III d) Pathology: Upper cervical spine disease involving C1-C4 levels including: 1. Atlantoaxial dislocation (traumatic/non-traumatic) 2. Traumatic cervical spine injury (C1-C4) 3. Craniovertebral junction (CVJ) anomalies 4. Cervical spondylosis with upper cervical involvement 5. Congenital cervical spine anomalies 6. Tumors involving upper cervical spine e) Surgery: Elective procedures requiring general anaesthesia with endotracheal intubation f) Consent: Written informed consent from patient or legally acceptable representative
Exclusion criteria
Exclusion criteria: a) Emergency surgery requiring immediate intervention b) No imaging available c) Already intubated patients d) Limited mouth opening (less than 3 cm) e) Previous tracheostomy or surgical airway f) Facial trauma or oropharyngeal pathology affecting airway assessment g) Pregnancy h) Refusal of consent i) Previous Failed intubation requiring surgical airway j) ASA III-IV k) Mental retardation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of difficult video-guided intubation, defined as more than 1 attempt or more than 60 secondsTimepoint: Baseline,at the time of intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence of difficult video-laryngoscopy in patients with upper cervical spine disease. 2. Measurement of radiological parameters 3. Sensitivity, specificity, PPV & NPV of radiological parameters & traditional clinical tests. Timepoint: 1.At the time of analysis at completion of study 2.At basline 3.At the time of analysis | — |
Countries
India
Contacts
Public ContactDr Keshav Goyal
AIIMS,NEW DELHI
Outcome results
None listed